Provider Demographics
NPI:1558041921
Name:UNITY PRO HOMECARE, LLC
Entity Type:Organization
Organization Name:UNITY PRO HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:EGHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-451-4863
Mailing Address - Street 1:1252 EDENBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7089
Mailing Address - Country:US
Mailing Address - Phone:404-451-4863
Mailing Address - Fax:
Practice Address - Street 1:3855 HOLCOMB BRIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-5249
Practice Address - Country:US
Practice Address - Phone:404-451-4863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health